Kenneth Bernard Chase, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6787 Issued in MD

Practice address

23808 Hollywood Road
Leonardtown, MD 20650

Phone

(301) 475-5926

Fax

(301) 475-5971

NPI assigned

Apr 10, 2007

Last updated

Sep 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Drkbchasellc

  • General Practice Dentistry
  • Leonardtown, MD
  • NPI 1912221649
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1306069240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23808 HOLLYWOOD ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-5926",
            "fax_number": "301-475-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23808 HOLLYWOOD ROAD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "301-475-5926",
            "fax_number": "301-475-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "KENNETH",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Advanced Orthopaedics, LLC
• Centers for Advanced Orthopaedics, LLC
• Centers for Advanced Orthopaedics, LLC
• Edford Olaf Chambers III, M.D.
• Jamilla K. Chase, DDS
• Marisa Checca, MD
• Frank Sungping Chen, MD/PHD
• Ryan Cheoun
• Chesapeake Audiology, LLC
• Chesapeake Family Health Care

• General Practice Dentistry in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.